| NPI | 1114337516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY DOREEN SHARPE Office Manager 386-385-3887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 5246) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |